CPT 35152 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Cardiovascular System |
| Common Place of Service | • 21 - Inpatient Hospital |
| Common Modifiers | • None • RT - Right side of body • LT - Left side of body |
| Complexity Level | High |
National average reimbursement for CPT 35152 by major payers:
$1,947.22
$1,973.88
$2,012.63
$2,286.03
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 35152 | ||||||
United | 35152 | $380.00 | 1578525853 - GASTROINTESTINAL CENTER OF HIALEAH, LLC | 650173048 - (FL) GASTROINTESTINAL CENTER OF HIALEAH LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $7604.00 | 1235195033 - NORTH COAST SURGERY CENTER LTD | 752448928 - (CA) NORTH COAST SURGERY CENTER LTD | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $335.00 | 1548359037 - SURGERY CENTER OF BRANSON, SURGERY CENTER OF BRANSON LLC | 680627781 - (MO) SURGERY CENTER OF BRANSON | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $2732.00 | 1679523351 - SURGERY CENTER OF PORT CHARLOTTE LTD | 201327093 - (FL) SURGERY CENTER OF PORT CHARLOTTE LTD | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $2652.00 | 1619995180 - MED CITY DALLAS OUTPATIENT SURGERY CENTER, L.P., MEDICAL CITY SURGERY CENTER/DALLAS | 201043104 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $476.00 | 1447234919 - GENGASTRO LLC, ENDOSCOPY CENTER FOR DIGESTIVE HEALTH | 562315623 - (IA) GENGASTRO LLC | IA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $1049.00 | 1891175188 - PHOENIX SPINE GOODYEAR ASC, LLC, PHOENIX SPINE SURGERY CENTER | 562311366 - (AZ) PHOENIX SPINE GOODYEAR, LTD. | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $1348.00 | 1881717627 - SHAH ASSOCIATES MD PA, TRI-COUNTY ENDOSCOPY CENTER | 462691028 | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $3434.00 | 1356480099 - MEMORIALCARE SURGICAL CENTER AT SADDLEBACK LLC | 203678259 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $451.00 | 1043984248 - NORTHERN OHIO SURGERY CENTER, LLC | 871114330 - (OH) NORTHERN OHIO SURGERY CENTER LLC | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $468.00 | 1386641066 - EYE SURGERY CENTER OF MARYVILLE LLC, EYES OF ILLINOIS SURGERY CENTER | 364111317 - (IL) NOVAMED EYE SURGERY CENTER OF MARYVILLE LLC | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $1200.00 | 1720129893 - PACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER | 330898866 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $2122.00 | 1891730644 - LAKEWALK SURGERY CENTER, INC. | 411791860 - (MN) LAKEWALK SURGERY CENTER INC. | MN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $540.00 | 1922022425 - CASCADE SURGERY CENTER LLC | 202354326 - (OR) CASCADE SURGERY CENTER LLC | OR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 35152 | $600.00 | 1700437423 - JOHNS HOPKINS SURGERY CENTERS SERIES, LUTHERVILLE SURGERY CENTER | 208707724 - (MD) JOHNS HOPKINS SURGERY CENTER SERIES | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 35152 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35152 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 35152 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 35151-CPT | High | Direct Repair Of Aneurysm, Pseudoaneurysm, Or Excision (Partial Or Total) And Graft Insertion, With Or Without Patch Graft; For Aneurysm, Pseudoaneurysm, And Associated Occlusive Disease, Popliteal Artery |
| 35152-CPT | High | Direct Repair Of Aneurysm, Pseudoaneurysm, Or Excision (Partial Or Total) And Graft Insertion, With Or Without Patch Graft; For Ruptured Aneurysm, Popliteal Artery |
| 35180-CPT | High | Rep A-V Fistula Head & Neck |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35152. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35152 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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